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SALD Special Pediatric Populations Chapter 4

Total questions: 71

Worksheet time: 38mins

Name
Class
Date
1.

Instructions: Choose the best answer for each question.

4 lines
2.

Which term is characterized by significant limitations in both intellectual functioning and adaptive behavior that originates before the age of 22?

a)

Developmental Language Disorder (DLD)

b)

Autism Spectrum Disorder (ASD)

c)

Intellectual Disability (ID)

d)

Global Developmental Delay

3.

What is the most common genetic cause of Intellectual Disability (ID)?

a)

Fragile X Syndrome (FXS)

b)

Williams Syndrome (WS)

c)

Down Syndrome (DS)

d)

Fetal Alcohol Spectrum Disorder (FASD)

4.

Which of the following is considered a core challenge in the cognitive profile of individuals with Down Syndrome, particularly involving verbal material?

a)

Visual-spatial construction

b)

Short-term memory for meaningful stimuli

c)

Executive functions

d)

Phonological processing

5.

A child with Down Syndrome is most likely to show a relative strength in which language domain compared to their nonverbal abilities?

a)

Expressive syntax

b)

Speech intelligibility

c)

Receptive vocabulary

d)

Tense marking

6.

Williams Syndrome (WS) is associated with a distinctive behavioral phenotype of:

a)

Social withdrawal

b)

Hypersociability

c)

Hyperactivity-impulsivity

d)

Emotional lability

7.

Which skill is a profound area of difficulty for individuals with Williams Syndrome, often contrasting with relative strengths in verbal reasoning?

a)

Phonological awareness

b)

Verbal working memory

c)

Visual-spatial construction

d)

Concrete vocabulary

8.

Fragile X Syndrome (FXS) is the most common inherited form of Intellectual Disability, caused by an expansion on which gene?

a)

FOXP2

b)

FMR1

c)

Trisomy 21

d)

Deletion on chromosome 7

9.

Which co-occurring condition is extremely common in children with Fragile X Syndrome, affecting 50–74% of children?

a)

Selective Mutism

b)

Autism

c)

Landau-Kleffner Syndrome

d)

Acquired Apraxia of Speech

10.

In a child with Fragile X Syndrome, which language skill is a particular challenge, often lagging behind vocabulary and mental age?

a)

Speech sound production

b)

Expressive vocabulary

c)

Syntax

d)

Delayed echolalia

11.

What is the most common cause of conductive hearing loss in children, which is often fluctuating and intermittent?

a)

Sensorineural damage

b)

Otitis Media (OM)

c)

Cochlear aplasia

d)

Traumatic Brain Injury (TBI)

12.

The use of Cochlear Implants yields the best spoken language outcomes when implantation occurs before which age?

a)

6 months

b)

12 months

c)

3 years

d)

5 years

13.

Following a Traumatic Brain Injury (TBI), which aspect of language is often particularly vulnerable, with common deficits in turn-taking and topic maintenance?

a)

Phonology

b)

Receptive vocabulary

c)

Morphosyntax

d)

Pragmatic language

14.

In the acute care phase (Phase I) of TBI recovery, assessment primarily focuses on:

a)

Retraining lost cognitive functions

b)

Physical care needs like swallowing and motor control

c)

Facilitating school reintegration

d)

Developing compensatory strategies

15.

Landau-Kleffner Syndrome (LKS) is a rare form of epilepsy also known as acquired epileptic aphasia. What is the hallmark language characteristic?

a)

Profound articulation difficulties

b)

Rapid loss of language skills, with comprehension most severely affected

c)

Advanced, complex syntax

d)

Hyperlexia with poor comprehension

16.

In severe cases of Landau-Kleffner Syndrome, a child may present with which condition?

a)

Global Developmental Delay

b)

Hyperlexia

c)

Auditory agnosia

d)

Selective mutism

17.

Autism Spectrum Disorder (ASD) is characterized by persistent deficits in social communication/interaction and restricted, repetitive patterns of behavior/interests. Which feature is often a relative strength compared to morphosyntax and pragmatics?

a)

Articulation

b)

Vocabulary depth

c)

Narrative coherence

d)

Understanding nonliteral language

18.

The term hyperlexia in autism refers to:

a)

Excessive, tangential speech

b)

Advanced word reading ability with limited verbal and cognitive skills

c)

The use of overly formal language

d)

Profound difficulty with reading comprehension

19.

What is a key criterion for the Social (Pragmatic) Communication Disorder (SCD) diagnosis in DSM-5?

a)

The deficits occur in the absence of Intellectual Disability

b)

The deficits occur in the absence of autism

c)

The individual has a history of Selective Mutism

d)

The individual must also meet criteria for ADHD

20.

Deficits in executive function are a common challenge that impacts language learning across diverse populations. Which of the following is a component of executive functions?

a)

Auditory processing

b)

Response inhibition

c)

Sensory regulation

d)

Expressive vocabulary

21.

What co-occurrence rate exists between Attention Deficit Hyperactivity Disorder (ADHD) and Developmental Language Disorder (DLD)?

a)

Less than 5%

b)

Around 10%

c)

Around 22%

d)

Greater than 50%

22.

A child with Fetal Alcohol Spectrum Disorder (FASD) is often described as facing a "double jeopardy" which includes prenatal teratogenic effects and:

a)

High rates of co-occurring Fragile X Syndrome

b)

Profound auditory agnosia

c)

A potentially chaotic caregiving environment

d)

Highly structured, but non-responsive, home interventions

23.

Which aspect of language is described as the most severely and persistently affected in children with Fetal Alcohol Spectrum Disorder (FASD)?

a)

Phonology and articulation

b)

Relational vocabulary

c)

Pragmatic aspects of language

d)

Expressive syntax

24.

Selective Mutism is classified as a(n):

a)

Neurodevelopmental Condition

b)

Speech Sound Disorder

c)

Anxiety Disorder

d)

Acquired Neurological Condition

25.

Which is a key component of the intervention approach for a child diagnosed with Selective Mutism?

a)

Focusing only on phonological awareness

b)

Gradually increasing the child's comfort with speaking across different people and settings

c)

Intensive, isolated work on grammar and syntax

d)

Immediate prescription of Augmentative and Alternative Communication (AAC)

26.

Childhood Apraxia of Speech (CAS) is a neurological speech sound disorder involving impaired precision and consistency of speech movements without:

a)

Inappropriate prosody

b)

Inconsistent errors on consonants and vowels

c)

Neuromuscular deficits

d)

Lengthened/disrupted transitions

27.

For a nonspeaking child with Autism, what is the primary goal of intervention?

a)

Achieving a highly advanced level of syntax

b)

Establishing intentional and functional communication for a variety of purposes

c)

Eliminating all repetitive behaviors

d)

Developing auditory processing skills alone

28.

In the clinical management of Down Syndrome, what is an important area to monitor due to the risk of recurrent ear infections?

a)

Executive functions

b)

Visual-spatial memory

c)

Hearing

d)

Pragmatics

29.

Which approach to literacy is advocated for individuals with Williams Syndrome, given their language profile?

a)

A sight-word only approach

b)

A systematic, phonics-based approach

c)

A whole language approach

d)

An approach focused solely on reading comprehension

30.

What is a key purpose of diagnostic labels in clinical practice, despite their limitations?

a)

Determining the root cause of every language problem

b)

Predicting a child's exact language profile

c)

Securing access to speech-language pathology (SLP) services and educational support

d)

Substituting for a detailed, individualized assessment

31.

The "transdiagnostic" approach to language disorders recognizes that many risk factors are common across developmental conditions and supports which core clinical focus?

a)

Determining the precise genetic etiology

b)

Focusing on an individual child's unique profile of speech, language, and communication strengths and challenges

c)

Relying exclusively on IQ scores to predict language outcomes

d)

Limiting intervention to only one domain of language

32.

The ability of an individual to produce an echo of language, which can include delayed echolalia, is a typical feature of:

a)

Williams Syndrome

b)

Autism

c)

Conductive Hearing Loss

d)

Traumatic Brain Injury

33.

The diagnosis of Developmental Language Disorder (DLD) is characterized by a language disorder in which there is no other:

a)

Identified genetic cause

b)

Identified learning disability

c)

Biomedical condition or identified cause

d)

Evidence of expressive language difficulty

34.

What is a primary vulnerability for children with Congenital Visual Impairment (VI), despite structural language skills often being intact?

a)

Phonology and articulation

b)

Verbal memory

c)

Social–pragmatic skills

d)

Concrete vocabulary

35.

In children with nonspecific Intellectual Disability, their overall development generally follows a typical trajectory at what pace?

a)

An accelerated pace

b)

A much slower pace

c)

An unpredictable, fluctuating pace

d)

A pace faster than nonverbal abilities

36.

Executive Function deficits can adversely affect how a student plans, organizes, and monitors reading tasks, primarily impacting:

a)

Word recognition

b)

Reading rate

c)

Reading comprehension

d)

Decoding skills

37.

Augmentative and Alternative Communication (AAC) can serve as a bridge to:

a)

Eliminating the need for literacy instruction

b)

Eliminating the need for speech therapy

c)

Symbolic reasoning and later language development

d)

Treating underlying anxiety disorders

38.

The proposed administrative term "profound autism" is intended to describe autistic individuals who:

a)

Have only verbal language strengths

b)

Require 24-hour care, often associated with substantial ID and/or minimal language

c)

Have IQs above 100

d)

Only exhibit deficits in one language domain

39.

Which of the following is not one of the consensus criteria for Childhood Apraxia of Speech (CAS)?

a)

Inconsistent errors on consonants and vowels

b)

Lengthened/disrupted transitions

c)

Neuromuscular deficits

d)

Inappropriate prosody

40.

Assessment of adaptive behavior must be relative to the individual's:

a)

Performance on IQ tests

b)

Chronological age only

c)

Cultural group

d)

Reading comprehension level

41.

Auditory Agnosia is a condition where an individual does not recognize or respond to speech and/or environmental sounds, despite having:

a)

Minimal language

b)

A cochlear implant

c)

Normal hearing levels

d)

Profound ID

42.

Mark 'T' for true and 'F' for false. The core clinical focus in language disorders should be on a child's diagnostic label rather than their unique profile of strengths and challenges.

a)

T

b)

F

43.

Mark 'T' for true and 'F' for false. For a diagnosis of Intellectual Disability, the onset must occur during the developmental period (before age 22).

a)

T

b)

F

44.

Mark 'T' for true and 'F' for false. In Down Syndrome, expressive syntax is typically more impaired than receptive syntax.

a)

T

b)

F

45.

Mark 'T' for true and 'F' for false. Individuals with Down Syndrome tend to have better word recognition than word decoding skills.

a)

T

b)

F

46.

Mark 'T' for true and 'F' for false. Hypotonia (low muscle tone) is a characteristic feature of both Down Syndrome and Fragile X Syndrome.

a)

T

b)

F

47.

Mark 'T' for true and 'F' for false. A pervasive view that low nonverbal cognitive abilities limit language potential is strongly supported by current research.

a)

T

b)

F

48.

Mark 'T' for true and 'F' for false. In otherwise healthy children, Otitis Media typically confers increased risk for long-term language or literacy impairment.

a)

T

b)

F

49.

Mark 'T' for true and 'F' for false. Sensorineural Hearing Loss is usually reversible with medical intervention.

a)

T

b)

F

50.

Mark 'T' for true and 'F' for false. Children with congenital Developmental Language Disorder (DLD) often have worse language outcomes than children who suffer from focal brain lesions.

a)

T

b)

F

51.

Mark 'T' for true and 'F' for false. For nonspeaking children, Augmentative and Alternative Communication (AAC) is a vital tool, but its implementation does not require careful assessment of the communication partners' skills.

a)

T

b)

F

52.

Mark 'T' for true and 'F' for false. In children with Traumatic Brain Injury, narrative skills are often highly organized and contain all key story elements.

a)

T

b)

F

53.

Mark 'T' for true and 'F' for false. Children with congenital Visual Impairment typically have language delays that are resolved by school age.

a)

T

b)

F

54.

Mark 'T' for true and 'F' for false. Social-pragmatic challenges rarely occur in isolation and are strongly associated with broader structural language skills and with autistic traits.

a)

T

b)

F

55.

Mark 'T' for true and 'F' for false. Executive function deficits are common in ADHD and can disrupt language learning.

a)

T

b)

F

56.

Mark 'T' for true and 'F' for false. Clinicians have a legal duty to report suspected maltreatment.

a)

T

b)

F

57.

Mark 'T' for true and 'F' for false. Auditory Processing Disorder (APD) is a diagnosis with no controversy, universally accepted as a primary cause of listening difficulties.

a)

T

b)

F

58.

Mark 'T' for true and 'F' for false. A key clinical implication for Fragile X Syndrome is that a detailed pragmatic evaluation is warranted.

a)

T

b)

F

59.

Mark 'T' for true and 'F' for false. Reading comprehension is a strong predictor of word reading skills in non-autistic populations, but not in autistic populations.

a)

T

b)

F

60.

Mark 'T' for true and 'F' for false. Intervention for language disorders is most effective when it is highly structured, standardized, and applied uniformly across all individuals with the same diagnosis.

a)

T

b)

F

61.

Mark 'T' for true and 'F' for false. The onset of Landau-Kleffner Syndrome typically occurs between 3 and 9 years old.

a)

T

b)

F

62.

Mark 'T' for true and 'F' for false. Cochlear implant use can result in near-normal levels of reading comprehension.

a)

T

b)

F

63.

Mark 'T' for true and 'F' for false. In the language profile of children with nonspecific Intellectual Disability, verbal and nonverbal skills appear to be mutually influential.

a)

T

b)

F

64.

Mark 'T' for true and 'F' for false. Williams Syndrome is associated with profound difficulties in visual-spatial construction.

a)

T

b)

F

65.

Mark 'T' for true and 'F' for false. The most widely used measure for assessing adaptive behavior is the Vineland Adaptive Behavior Scales-III.

a)

T

b)

F

66.

Mark 'T' for true and 'F' for false. A systematic, phonics-based approach to literacy is preferable for individuals with Williams Syndrome.

a)

T

b)

F

67.

Mark 'T' for true and 'F' for false. For children with language disorders following abuse and neglect, intervention should encourage language for reflection and perspective-taking.

a)

T

b)

F

68.

Mark 'T' for true and 'F' for false. Focal Brain Lesions in children typically result in severe, irreversible deficits in basic phonology, vocabulary, and grammar.

a)

T

b)

F

69.

Mark 'T' for true and 'F' for false. Interventions for children with visual impairment can include video feedback instruction for parents to enhance interactive turn-taking and contingent responses.

a)

T

b)

F

70.

Mark 'T' for true and 'F' for false. The ability to repeat back what was said (verbal short-term memory) is a relative strength in Williams Syndrome.

a)

T

b)

F

71.

Mark 'T' for true and 'F' for false. The SLP's role in Phase III (Return to Home/School) of TBI recovery may include consultation with school staff to facilitate reintegration.

a)

T

b)

F